Therapists in 10019

Photo of Deborah Rinzler, Psychologist, PhD
Deborah Rinzler
Psychologist, PhD
New York, NY 10019
In 40 years of experience as a psychotherapist, I have learned that the most valuable thing I can do is to help my clients to accept themselves for whatever feelings and thoughts they have. I think self-rejection is the biggest block to healing. I also regard spirituality as an integral part of healing in psychotherapy. I do not use any particular theoretical framework (though I have many at my disposal), but tailor my approach to each individual's needs. My sessions are lively and interactive, and I believe that humor is an integral part of the healing process. Please see my video on Youtube where I describe the work I do.
In 40 years of experience as a psychotherapist, I have learned that the most valuable thing I can do is to help my clients to accept themselves for whatever feelings and thoughts they have. I think self-rejection is the biggest block to healing. I also regard spirituality as an integral part of healing in psychotherapy. I do not use any particular theoretical framework (though I have many at my disposal), but tailor my approach to each individual's needs. My sessions are lively and interactive, and I believe that humor is an integral part of the healing process. Please see my video on Youtube where I describe the work I do.
(646) 583-1104 View (646) 583-1104
Photo of David E Koch, Clinical Social Work/Therapist, PhD, LCSW
David E Koch
Clinical Social Work/Therapist, PhD, LCSW
2 Endorsed
New York, NY 10019
Therapy is a collaboration designed to help you to relieve distress, gain insight and experience deeper connections with others. Perhaps you feel stuck, or that your life lacks passion or vitality. Working together we can connect your past with your present in a new configuration in order to promote a more satisfying life. It all starts with feeling deeply heard and understood.
Therapy is a collaboration designed to help you to relieve distress, gain insight and experience deeper connections with others. Perhaps you feel stuck, or that your life lacks passion or vitality. Working together we can connect your past with your present in a new configuration in order to promote a more satisfying life. It all starts with feeling deeply heard and understood.
(917) 746-7106 View (917) 746-7106
Photo of Randy Jill Heller, Marriage & Family Therapist, PhD, LM
Randy Jill Heller
Marriage & Family Therapist, PhD, LM
New York, NY 10019
Dr. Randy Heller received her doctorate in Family Therapy from Nova Southeastern University. She has held multiple positions as an Educator, Exceptional Student Specialist, and Family Counselor for The Broward County School Board beginning in 1980. She is now a Licensed Mental Health Counselor, Licensed Marriage and Family Therapist, Certified Supreme Court Family Mediator, Qualified Parenting Coordinator, and Certified Hypnotherapist, and Founder and Clinical Director of The Family Network, Collaborative Counseling Center for Positive Growth and Change, established in 1994.
Dr. Randy Heller received her doctorate in Family Therapy from Nova Southeastern University. She has held multiple positions as an Educator, Exceptional Student Specialist, and Family Counselor for The Broward County School Board beginning in 1980. She is now a Licensed Mental Health Counselor, Licensed Marriage and Family Therapist, Certified Supreme Court Family Mediator, Qualified Parenting Coordinator, and Certified Hypnotherapist, and Founder and Clinical Director of The Family Network, Collaborative Counseling Center for Positive Growth and Change, established in 1994.
(347) 836-5780 View (347) 836-5780
Photo of Marilyn Lieberman, Clinical Social Work/Therapist, LCSW
Marilyn Lieberman
Clinical Social Work/Therapist, LCSW
New York, NY 10019
I am a therapist with over 20 years of experience with adults, aged 18 to mid 70s. Some have been students and others working in diverse fields including art, teaching, acting, social work, design, and in the corporate world. My practice has also included individuals who are thinking about, or in the process of, changing careers.
I am a therapist with over 20 years of experience with adults, aged 18 to mid 70s. Some have been students and others working in diverse fields including art, teaching, acting, social work, design, and in the corporate world. My practice has also included individuals who are thinking about, or in the process of, changing careers.
(347) 329-3154 View (347) 329-3154
Photo of Kerin Nadler - Kerin Nadler Therapy, Art Therapist, MS, LCAT, BC-DMT, CGP
Kerin Nadler Therapy
Art Therapist, MS, LCAT, BC-DMT, CGP
New York, NY 10019
Kerin Nadler is a Psychoanalyst, Group Psychotherapist and Creative Arts Therapist. Kerin provides individual and group psychotherapy for people struggling with depression, psychosis, mood disorders, PTSD, personality disorders, anxiety and relationship issues. She received an MS from Pratt Institute. In addition to her private practice, Kerin is an individual and group therapist at Mt. Sinai Hospital and the Institute for Contemporary Psychotherapy. Kerin has been a guest lecturer at Mt. Sinai School of Medicine and Albert Einstein College of Medicine. She has also presented at local and national group psychotherapy conferences.
Kerin Nadler is a Psychoanalyst, Group Psychotherapist and Creative Arts Therapist. Kerin provides individual and group psychotherapy for people struggling with depression, psychosis, mood disorders, PTSD, personality disorders, anxiety and relationship issues. She received an MS from Pratt Institute. In addition to her private practice, Kerin is an individual and group therapist at Mt. Sinai Hospital and the Institute for Contemporary Psychotherapy. Kerin has been a guest lecturer at Mt. Sinai School of Medicine and Albert Einstein College of Medicine. She has also presented at local and national group psychotherapy conferences.
(917) 563-4932 View (917) 563-4932
Photo of Madison Weber, MHC-LP
Madison Weber
Verified Verified
New York, NY 10019
Sometimes life can feel incredibly overwhelming and you just don’t know where to turn. Recognizing the need to ask for help is one incredible strength you already possess! I believe that you are the expert in your life and experiences. As your therapist, I will accompany you on your journey through self-discovery, healing, and change. Through examining your emotions, thoughts and beliefs, I will support your self-exploration and help you achieve your fullest potential.
Sometimes life can feel incredibly overwhelming and you just don’t know where to turn. Recognizing the need to ask for help is one incredible strength you already possess! I believe that you are the expert in your life and experiences. As your therapist, I will accompany you on your journey through self-discovery, healing, and change. Through examining your emotions, thoughts and beliefs, I will support your self-exploration and help you achieve your fullest potential.
(646) 759-1318 View (646) 759-1318
Photo of Samantha Cooper - Unconventional Minds Coaching, MS
Unconventional Minds Coaching
Verified Verified
1 Endorsed
New York, NY 10019
Hi! I'm Sam, a Professional Coach who works with neurodivergent adults (ADHD, Autistic, AuDHD, OCD) who have unconventional lives to understand and embrace their unique neurotypes, so they can effectively minimize stress, overcome challenges, and improve their quality of life. Together, we can co-create a supportive non-judgmental, and effective coaching partnership through which you will learn to fully utilize your strengths, understand and embrace your full humanity, and cultivate practices that are key to defining and achieving your own version of success. Please note: I am a qualified coach, NOT a psychotherapist or counselor.
Hi! I'm Sam, a Professional Coach who works with neurodivergent adults (ADHD, Autistic, AuDHD, OCD) who have unconventional lives to understand and embrace their unique neurotypes, so they can effectively minimize stress, overcome challenges, and improve their quality of life. Together, we can co-create a supportive non-judgmental, and effective coaching partnership through which you will learn to fully utilize your strengths, understand and embrace your full humanity, and cultivate practices that are key to defining and achieving your own version of success. Please note: I am a qualified coach, NOT a psychotherapist or counselor.
(347) 572-7803 View (347) 572-7803
Photo of Collin Joseph Leydon, Pre-Licensed Professional, Intern, (LMHC)
Collin Joseph Leydon
Pre-Licensed Professional, Intern, (LMHC)
4 Endorsed
New York, NY 10019
I help individuals & couples struggling with relationship issues, life transitions, anxiety, depression, trauma, and job insecurity deepen their self-understanding and lead more intentional and fulfilling lives. Symptoms include difficulties with emotion regulation, low self-esteem/confidence, compulsive behaviors, and trouble feeling close to others. Additionally, as a career changer with an artistic/entrepreneurial background, I have a special interest in supporting people navigating career transitions as well as creative artists (actors, writers, musicians) grow along personal, professional, and creative lines.
I help individuals & couples struggling with relationship issues, life transitions, anxiety, depression, trauma, and job insecurity deepen their self-understanding and lead more intentional and fulfilling lives. Symptoms include difficulties with emotion regulation, low self-esteem/confidence, compulsive behaviors, and trouble feeling close to others. Additionally, as a career changer with an artistic/entrepreneurial background, I have a special interest in supporting people navigating career transitions as well as creative artists (actors, writers, musicians) grow along personal, professional, and creative lines.
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Esther Fingerhut
Psychologist, PhD
2 Endorsed
New York, NY 10019
It takes tremendous courage to start therapy for the first time or to revisit it during a difficult transition or challenging moment. I strive to create a safe space for you to heal from your past wounds and provide tender care through out this process. If you think we may be a good fit, please do not hesitate to reach out and let's get started.
It takes tremendous courage to start therapy for the first time or to revisit it during a difficult transition or challenging moment. I strive to create a safe space for you to heal from your past wounds and provide tender care through out this process. If you think we may be a good fit, please do not hesitate to reach out and let's get started.
(929) 374-2380 View (929) 374-2380
Photo of Mara Nellis, Clinical Social Work/Therapist, LCSW-R
Mara Nellis
Clinical Social Work/Therapist, LCSW-R
New York, NY 10019
I engage in genuine empathic relationships with my clients in order to provide a safe foundation for the collaborative and challenging process of psychotherapy. Our work together focuses on understanding and working through difficult feelings and powerful beliefs which are leaving them feeling stuck. I enjoy helping clients reconnect with their inner resources and creativity in order to engage more fully in relationships and work.
I engage in genuine empathic relationships with my clients in order to provide a safe foundation for the collaborative and challenging process of psychotherapy. Our work together focuses on understanding and working through difficult feelings and powerful beliefs which are leaving them feeling stuck. I enjoy helping clients reconnect with their inner resources and creativity in order to engage more fully in relationships and work.
(212) 252-2116 View (212) 252-2116
Photo of Grace Blumberg, Licensed Master Social Worker, LMSW
Grace Blumberg
Licensed Master Social Worker, LMSW
New York, NY 10019
Working through a trauma-informed lens, I create a warm and grounding space for folks experiencing anxiety, depression, grief, life stress, and effects from past trauma. I work from a strengths-based perspective and believe everyone has the capacity to heal and grow with the right support and tools. Integrating mindfulness into our work, I help you ground in the present while processing past experiences and present thoughts. Taking a collaborative approach, I recognize everyone’s individuality and unique needs. You are the keeper of your story and I am here to help guide and support you through your healing journey.
Working through a trauma-informed lens, I create a warm and grounding space for folks experiencing anxiety, depression, grief, life stress, and effects from past trauma. I work from a strengths-based perspective and believe everyone has the capacity to heal and grow with the right support and tools. Integrating mindfulness into our work, I help you ground in the present while processing past experiences and present thoughts. Taking a collaborative approach, I recognize everyone’s individuality and unique needs. You are the keeper of your story and I am here to help guide and support you through your healing journey.
(646) 687-1474 View (646) 687-1474
Photo of Matthew Tilton- Hudson Square Therpy, Pre-Licensed Professional, MSEd, MHC-LP
Matthew Tilton- Hudson Square Therpy
Pre-Licensed Professional, MSEd, MHC-LP
1 Endorsed
New York, NY 10019
In session, you can expect Matt to meet you exactly where you are both in your goals for therapy and in whatever led you to begin this journey. He is an attentive listener who understands that feeling truly heard is at the heart of meaningful therapeutic work. Matt is genuinely curious about your experiences and takes the time to get to know you as a whole person so he can better support you and your goals for therapy. Matt wants you to feel genuinely seen, not judged, not rushed, not expected to have everything figured out.
In session, you can expect Matt to meet you exactly where you are both in your goals for therapy and in whatever led you to begin this journey. He is an attentive listener who understands that feeling truly heard is at the heart of meaningful therapeutic work. Matt is genuinely curious about your experiences and takes the time to get to know you as a whole person so he can better support you and your goals for therapy. Matt wants you to feel genuinely seen, not judged, not rushed, not expected to have everything figured out.
(646) 624-8389 View (646) 624-8389
Photo of Dr. Ricardo Rieppi, Psychologist, PhD
Dr. Ricardo Rieppi
Psychologist, PhD
11 Endorsed
New York, NY 10019
When life seems “okay” on the outside but feels heavy inside, therapy that’s warm, grounded, & clinically solid can really help. I offer an empathic, collaborative style & use evidence-based approaches to get to the root of your anxiety, depression, trauma, & stuck patterns. Together, we’ll sort out what’s fueling your distress & build practical tools you can start using right away—while staying connected to your deeper values & long-term goals. My approach blends insight with real-world strategies so you can handle triggers with steadiness, quiet self-doubt, &move forward with confidence. If you’re ready for change, let's connect.
When life seems “okay” on the outside but feels heavy inside, therapy that’s warm, grounded, & clinically solid can really help. I offer an empathic, collaborative style & use evidence-based approaches to get to the root of your anxiety, depression, trauma, & stuck patterns. Together, we’ll sort out what’s fueling your distress & build practical tools you can start using right away—while staying connected to your deeper values & long-term goals. My approach blends insight with real-world strategies so you can handle triggers with steadiness, quiet self-doubt, &move forward with confidence. If you’re ready for change, let's connect.
(917) 909-2300 View (917) 909-2300
Photo of Stanley Kramer, Clinical Social Work/Therapist, LCSW
Stanley Kramer
Clinical Social Work/Therapist, LCSW
New York, NY 10019
My philosophy has evolved over two decades of hands-on clinical work, extensive psychoanalytic training and analysis. These experiences have taught me that if I listen carefully enough to anyone's story, they and their struggles make sense. I try to help people stop seeing themselves as an extension of their problem and see the problems as an attempt to cope with something unseen and overwhelming that has gone awry. Every person's choices in life, whether in relationships, work, and play make sense, even if they are self-destructive. I work primarily with adults and adolescents, and with couples.
My philosophy has evolved over two decades of hands-on clinical work, extensive psychoanalytic training and analysis. These experiences have taught me that if I listen carefully enough to anyone's story, they and their struggles make sense. I try to help people stop seeing themselves as an extension of their problem and see the problems as an attempt to cope with something unseen and overwhelming that has gone awry. Every person's choices in life, whether in relationships, work, and play make sense, even if they are self-destructive. I work primarily with adults and adolescents, and with couples.
(646) 718-3310 View (646) 718-3310
Photo of Hannah Duke, Clinical Social Work/Therapist, LMSW
Hannah Duke
Clinical Social Work/Therapist, LMSW
New York, NY 10019
As a therapist who treats eating disorders and their wide array of co-occurring concerns, I am passionate about taking a client-centered approach to my care. You will find that I prioritize getting to know you as a whole person rather than just your diagnoses. You and I will collaborate to develop an individualized and tailored approach to your therapeutic process. I have worked with individuals across the lifespan and in varying demographics, including LGBTQIA+, and am committed to honoring your individual identity, wishes, and needs throughout our work together.
As a therapist who treats eating disorders and their wide array of co-occurring concerns, I am passionate about taking a client-centered approach to my care. You will find that I prioritize getting to know you as a whole person rather than just your diagnoses. You and I will collaborate to develop an individualized and tailored approach to your therapeutic process. I have worked with individuals across the lifespan and in varying demographics, including LGBTQIA+, and am committed to honoring your individual identity, wishes, and needs throughout our work together.
(914) 521-3798 View (914) 521-3798
Photo of Laurie Sloane - Laurie Sloane, LCSW, Clinical Social Work/Therapist, LCSW
Laurie Sloane, LCSW
Clinical Social Work/Therapist, LCSW
New York, NY 10019
Over the past 30 years, a combination of diverse experiences and extensive training have made me the therapist I am today. I have always been interested in what makes us who we are. How much is nature or nurture, what are we born with and does the environment shape us. Psychotherapy provides a safe space for people to make meaning about their lives, the choices they make in school, work and love. Therapy is a process. Though there is often no simple, quick solution, it provides a safe space to explore in-depth, emotions, thoughts and actions to bring about change.
Over the past 30 years, a combination of diverse experiences and extensive training have made me the therapist I am today. I have always been interested in what makes us who we are. How much is nature or nurture, what are we born with and does the environment shape us. Psychotherapy provides a safe space for people to make meaning about their lives, the choices they make in school, work and love. Therapy is a process. Though there is often no simple, quick solution, it provides a safe space to explore in-depth, emotions, thoughts and actions to bring about change.
(646) 681-1308 View (646) 681-1308
Photo of Vanessa M Bing, Psychologist, PhD
Vanessa M Bing
Psychologist, PhD
New York, NY 10019
Whether you are seeking individual support, are struggling with a relationship that feels unfulfilling, the absence of a significant relationship, or are a part of a family system that is navigating a significant change, crisis, or other adjustment, I am able to partner with you on your journey to wellness. I welcome individuals, couples and families into my practice. I have extensive experience working with trauma survivors and individuals struggling with anxiety, depression, work related stress, low self-esteem, racialized trauma as well as performing and visual artists, athletes and professionals seeking to make change.
Whether you are seeking individual support, are struggling with a relationship that feels unfulfilling, the absence of a significant relationship, or are a part of a family system that is navigating a significant change, crisis, or other adjustment, I am able to partner with you on your journey to wellness. I welcome individuals, couples and families into my practice. I have extensive experience working with trauma survivors and individuals struggling with anxiety, depression, work related stress, low self-esteem, racialized trauma as well as performing and visual artists, athletes and professionals seeking to make change.
(646) 663-4234 View (646) 663-4234
Photo of Alan Lehman, Clinical Social Work/Therapist, PhD, LCSW
Alan Lehman
Clinical Social Work/Therapist, PhD, LCSW
New York, NY 10019
I'm a results-oriented, solution-focused psychologist who, over 25 years in practice, have honed my own active, directive therapeutic approach to deliver results in a time-efficient, step-wise manner. After an initial chronological overview, in which we track the origins and development of your presenting symptoms/challenges, we establish clear, achievable goals and map out steps for reaching these goals. Utilizing goal-focused, cognitive-behavioral techniques, I’ll guide and assist you in identifying and overcoming past hindrances to meeting your desired goals, and provide you with skills for maintaining your achieved goals.
I'm a results-oriented, solution-focused psychologist who, over 25 years in practice, have honed my own active, directive therapeutic approach to deliver results in a time-efficient, step-wise manner. After an initial chronological overview, in which we track the origins and development of your presenting symptoms/challenges, we establish clear, achievable goals and map out steps for reaching these goals. Utilizing goal-focused, cognitive-behavioral techniques, I’ll guide and assist you in identifying and overcoming past hindrances to meeting your desired goals, and provide you with skills for maintaining your achieved goals.
(646) 291-6985 View (646) 291-6985
Photo of May Khine, Pre-Licensed Professional
May Khine
Pre-Licensed Professional
New York, NY 10019
Whenever you feel lost at sea and the tides get too rough, I hope to be the anchor you can place down to feel grounded. Even when the waters seem impossibly deep, I will sit steady with you as you find your own strength to navigate, reminding you that you already carry what it takes to sail forward without sinking. You do not have to keep drifting away alone or stay lost. I view therapy not as a quick fix, but as a process where all parts of you, including those you have learned to silence to survive, can be confronted so that you eventually feel safe, free, and at peace enough to return home to yourself.
Whenever you feel lost at sea and the tides get too rough, I hope to be the anchor you can place down to feel grounded. Even when the waters seem impossibly deep, I will sit steady with you as you find your own strength to navigate, reminding you that you already carry what it takes to sail forward without sinking. You do not have to keep drifting away alone or stay lost. I view therapy not as a quick fix, but as a process where all parts of you, including those you have learned to silence to survive, can be confronted so that you eventually feel safe, free, and at peace enough to return home to yourself.
(929) 324-7572 View (929) 324-7572
Photo of Glenn W Frost, Clinical Social Work/Therapist, LCSW-R
Glenn W Frost
Clinical Social Work/Therapist, LCSW-R
New York, NY 10019
I have 30 years experience working with youth, adolescents, adults, couples, and families. Clients come to see me seeking assistance for a wide variety of issues related to anxiety, depression, mental/physical illness, grief and loss, trauma, stress, unexplained anger, and relationship issues. I believe in exploring issues from a family perspective; where did you come from and how did you come to be who, and how, you are.
I have 30 years experience working with youth, adolescents, adults, couples, and families. Clients come to see me seeking assistance for a wide variety of issues related to anxiety, depression, mental/physical illness, grief and loss, trauma, stress, unexplained anger, and relationship issues. I believe in exploring issues from a family perspective; where did you come from and how did you come to be who, and how, you are.
(716) 417-9998 View (716) 417-9998

See more therapy options for 10019

How does your Therapist compare?

Number of Therapists in 10019

900+

Average cost per session

$200

Therapists in 10019 who prioritize treating:

93% Anxiety
88% Depression
83% Relationship Issues
73% Self Esteem
68% Trauma and PTSD
62% Life Transitions
61% Stress

Average years in practice

15 Years

Top 3 insurances accepted

78% Aetna
53% Cigna and Evernorth
44% UnitedHealthcare UHC | UBH

How Therapists in 10019 see their clients

65% In Person and Online
35% Online Only

Gender breakdown

69% Female
28% Male
3% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in 10019?

Search for nearby therapists or counselors by inputting your city, town, or suburb; or zip code; or a provider’s name into the search bar. From there, you can filter providers by the issues they treat, cost, insurance, gender, and other factors to find providers who are well-suited to your needs. To navigate between locations within the same country, enter a new city or zip code into the search bar.

Learn more about how to find a therapist

Is everyone in the Psychology Today Therapy Directory a licensed therapist?

The Psychology Today directory lists providers who offer legitimate mental health services to the public, including psychologists, psychiatrists, social workers, and counselors.

Many have been licensed by the country or state where they practice; providers whose license or primary credential has been verified by Psychology Today are signified by a “Verified” symbol. Some clinicians or organizations provide services for which their state or country does not offer licenses, such as pastoral counseling. They may be selectively included without the “Verified” seal.

What’s the difference between a psychologist, a therapist, and a counselor?

Therapists, psychologists, and counselors are all licensed mental health professionals. In the US, psychologists have earned a doctoral degree. The terms “therapist” and “counselor” are used somewhat interchangeably, but generally therapists offer longer-term, mental health care, while counselors offer shorter-term care that may focus on one domain, such as marriage, career, or academic challenges.

Clients should consider factors such as insurance coverage and their primary reason(s) for seeking therapy to determine the type of professional best suited to their needs. Someone struggling with mental health challenges such as depression or anxiety, for example, may wish to seek out a clinical psychologist or therapist, while someone navigating career obstacles or marital upheaval may benefit from seeing a counselor who can offer short-term, targeted support.

What type of therapy is right for me?

The type of therapy best suited to a particular individual depends on several factors, including their primary reason for seeking therapy, their preferred timeline (some therapy types last for a set number of sessions, while others are open-ended), and their personality and preferences—some may prefer a more structured approach. For many individuals, multiple types of therapy could provide a good fit.

How much does therapy cost?

The cost of therapy depends on a number of variables, including location and the therapist’s experience and training. On average, a therapy session in the United States could cost between $100 and $200 or more. If you have insurance, the expense of mental health care is typically lower, but it varies based on your insurance plan details and whether you choose an in-network or out-of-network mental healthcare provider.

What are more affordable or low cost therapy solutions?

Many therapists offer sliding scale payments, usually on a limited number of slots, which consists in an agreement between the therapist and a client to pay a reduced rate. Therapists who provide such arrangements often consider the client's income or ability to pay, but the extent of the discount is ultimately at the therapist's discretion. Furthermore, while group therapy may have different goals and benefits compared to individual therapy, it can be a more affordable solution to address certain types of issues.

Is online therapy cheaper than in-person therapy?

Many therapists charge the same amount for online therapy as they do for in-person therapy—though clients may still find this cost-effective if it cuts down on their transportation costs. Health insurance plans often offer equivalent coverage for online and in-person therapy; indeed, in many places, they are legally required to do so. Text-based or on-demand therapy apps may be cheaper than traditional one-on-one psychotherapy; however, the practice may be less effective and is not likely to be covered by insurance.

Is online therapy a good option?

Therapy conducted online can be just as effective as in-person therapy, as long as there is a strong alliance between the client and the therapist. To find a therapist who provides telehealth services to clients in your area, click “Online Therapy” on the directory homepage and search by your city or town or your zip code.

Are therapy sessions confidential?

Confidentiality is a crucial part of the therapeutic relationship. Therapists in the United States are bound by the regulations set out by the Health Insurance Portability and Accountability Act of 1996 (HIPAA), which aims to protect sensitive health information. With very few exceptions, a therapist will only discuss their client with others when the client has given their written permission. The instances in which a therapist would be required to disclose personal information are: if a client poses a danger to themselves or others, if the therapist suspects the abuse of a child or an elderly or otherwise dependent adult, or if they are legally forced to by court order. These exceptions to the confidentiality agreement are usually discussed with a client before their first session.